Use of Public Automated External Defibrillators in Out-of-Hospital Cardiac Arrest in Poland

Żuratyński, Przemysław; Ślęzak, Daniel; Dąbrowski, Sebastian; Krzyżanowski, Kamil; Mędrzycka‐Dąbrowska, Wioletta; Rutkowski, Przemysław

doi:10.3390/medicina57030298

Cited by 4 publications

(4 citation statements)

References 26 publications

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“…Still, in only a minority of the 22 cases in which AED use was indicated it was applied by Maccabi clinic personnel (8, 36.4%), though chest compression CPR was provided to all cardiac arrest victims. Earlier AED applications may have further improved outcome by allowing defibrillation (when indicated) at an earlier stage and prior to EMS arrival [ 26 ]. The findings in our healthcare provider survey showed that most respondents had undergone AEDs training (89.4%), most within the last three years (67.9%).…”

Section: Discussionmentioning

confidence: 99%

Resuscitation in Community Healthcare Facilities in Israel

Zherebovich

Goldberg

Ben‐Tov

et al. 2021

IJERPH

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Background: Out-of-hospital cardiac-arrest (OHCA) is a major public health challenge. Community health care providers (CHP) may play an important role through early identification, basic life support and defibrillation. Few studies have evaluated the incidence and characteristics of OHCAs initially cared for by CHP, most finding improved survival. This study combined CHP treated OHCA case analysis, with assessment of provider resuscitation preparedness. Methods: An analysis of all CHP initiated resuscitations in a large Health Maintenance Organization (HMO) reported over 42 months, coupled with an online survey assessing CHP resuscitation knowledge, experience, training and self-confidence. Results: 22 resuscitations met inclusion criteria. In 21 CHP initiated chest-compressions but in only 8 cases they utilized the clinic’s automated external defibrillator (AED) prior to emergency medical services (EMS) arrival. There were 275 providers surveyed. Of the surveyed providers, 89.4% reported previous basic life support (BLS)/advanced cardiovascular life support (ALS) training, 67.9% within the last three years. Previous resuscitation experience was reported by 72.7%. The lowest scoring knowledge question was on indications for AED application −56.3%. Additionally, 44.4% reported low confidence in their resuscitation skills. CHP with previous cardiopulmonary resuscitation (CPR) experience reported higher confidence. Longer time since last CPR training lowered self-confidence. Conclusions: Early AED application is crucial for patients with OHCA. All clinics in our study were equipped with AED’s and most CHP received training in their use, but remained insecure regarding their use, often failing to do so.

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Section: Discussionmentioning

confidence: 99%

Resuscitation in Community Healthcare Facilities in Israel

Zherebovich

Goldberg

Ben‐Tov

et al. 2021

IJERPH

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“…If the day is divided into two stages: daytime 8:00-20:00 and nighttime 20:00-8:00, then the ratio of daytime and nighttime is 70-30%. [33] Denmark.…”

Section: Experiences and Conclusion Of Some Countriesmentioning

confidence: 99%

History of the Development of Automated External Defibrillators

Kalejs,

Maca-Kaleja,

Apsite

et al. 2024

Updates on Cardiac Defibrillation, Cardioversion and AED Development

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This chapter is structured as a historical overview of the history of the development of defibrillators and the most prominent personalities who contributed to the development of the modern concept of resuscitation. Defibrillators in medical practice can be external or implanted. The devices, known as automated external defibrillators, automate the diagnosis of a patient’s rhythm and the process of stopping arrhythmias, meaning they can be used successfully by nonspecialists. In Europe, 350,000–700,000 people suffer from sudden cardiac arrest every year. On average, it is 55–113 per 100,000 people. Most of these people are usually at home, but about 10–20% of victims are in a public place at the time. Defibrillation within 3–5 minutes of cardiac arrest can increase survival by 50–70%. For every minute that defibrillation is delayed, the chance of survival decreases by 10–12%. A significant contribution to the development of the defibrillation concept was made by Peter Kristians Abildgård, Albert Salisbury Hyman, William Bennett Couwenhoven, Paul Morris Zoll, James Francis Pantridge, and many others. Clinical studies confirm that public access defibrillators (PADs), when available and used correctly during out-of-hospital cardiac arrest, were associated with a 40% median survival rate.

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“…People around them will avoid the whole family, and the victims can only leave their homes, families, and jobs. Therefore, psychological nursing should be done patiently during systemic treatment [19,20].…”

Section: Lightning Injure Treatmentmentioning

confidence: 99%

A Study On Lightning Injury Mechanism And Medical Treatment Based On Case

Yin¹,

Zhang²,

Zhu³

et al. 2023

Preprint

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Currently, the number of lightning casualties and casualty rates have significantly reduced in developed countries, but there has been no significant reduction in developing countries. On the one hand, this is due to the high frequency of lightning; on the other hand, the vulnerability of people in developing countries is also an influencing factor. Through case analysis and summary, this paper expounds on lightning injury’s mechanism and clinical manifestations. It points out that lightning injury is mainly related to heart problems and the impact on the nervous system, rather than burns, which usually cause fewer consequences. Medical treatment needs to pay attention to the order and principles of treatment. Implementing CPR and auxiliary AED is the most effective way to save lives. Attention should be paid to the practical and effective treatment and nursing of lightning stroke sequelae. Finally, combined with the situation of lightning casualties in china, the existing problems are put forward during the process of early treatment, post-hospital treatment, and nursing observation, which provides an objective basis for the cognition of the scientific nature of the lightning injury.

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Use of Public Automated External Defibrillators in Out-of-Hospital Cardiac Arrest in Poland

Cited by 4 publications

References 26 publications

Resuscitation in Community Healthcare Facilities in Israel

Resuscitation in Community Healthcare Facilities in Israel

History of the Development of Automated External Defibrillators

A Study On Lightning Injury Mechanism And Medical Treatment Based On Case

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